Facility Evaluation Report

Licensing Program Analyst (LPA) Rebecca Ruiz conducted an unannounced case management visit. LPA was greeted by, identified herself to, and explained the purpose of the visit to Administrator Alberto Laureano.

This visit was initiated due to an incident report that was self reported by the Licensee to the Department on 1/17/2024. The incident report narrative described that Client 1 (C1) had a behavior and fell. [Administrator was provided with LIC811 Confidential Names List to identify C1] The following day, C1 was transported to the hospital where C1 was diagnosed with an injury.

During today’s visit, LPA toured the facility, conducted a health and safety check, and reviewed and obtained copies of facility records. Clients were not present at the facility during the time of the visit. No immediate health or safety concerns were observed during the facility tour.

No deficiencies were cited during today’s visit. An exit interview was conducted with Administrator Alberto Laureano, whose signature below confirms receipt of a copy of this report, LIC811, and the Licensee Appeal Rights (LIC9058 01/16).